| NPI | 1790590610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 345363) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: FL 5254533) |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |